Individual
ANTHONIA AJAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2707 GEORGIA AVE, KINGMAN, AZ 86401-5337
(973) 943-6517
Mailing address
2707 GEORGIA AVE, KINGMAN, AZ 86401-5337
(973) 943-6517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1051572
NY
183500000X
Pharmacist
28RI02873500
NJ
183500000X
Pharmacist
Primary
S023897
AZ
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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